Organization Active NPI

Elizabeth Scott Community, Inc.

  • Skilled Nursing Facility
  • Maumee, OH
National Provider Identifier
1629052139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0184 Issued in OH
Legal business name
ELIZABETH SCOTT COMMUNITY, INC.
Practice address
2720 Albon Rd
Maumee, OH 43537-9752
Phone
(419) 865-3002
Fax
(419) 865-1283
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert C. Dennie, LNHA
Title
Administrator
Phone
(419) 724-5156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0184 OH Primary

Addresses

Primary practice location

2720 Albon Rd
Maumee, OH 43537-9752

Mailing address

2720 Albon Rd
Maumee, OH 43537-9752
Phone (419) 865-3002

Other identifiers 1

IdentifierTypeStateIssuer
2440424MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000292 OH Part A Provider - Skilled Nursing Facility 9032012695 Practice locations: Maumee, OH

Skilled nursing facility certification: CCN 366184

Legal name
ELIZABETH SCOTT COMMUNITY, INC.
Doing business as
ELIZABETH SCOTT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 8, 1999
Last certification
Sep 12, 2024
Beds
60
Ownership / control type
Corporation
Most recent change of ownership
Jan 1, 2004
Organization structure
CorporationProprietary
Incorporated
Oct 31, 2003 in OH
Enrollment address
2720 Albon Rd
Maumee, OH 43537-9752

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elizabeth Scott CommunityCCN 366184 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 8, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Candace Krabil Individual Operational/Managerial ControlLnha Jul 16, 2007
Paul Bucher Individual Corporate OfficerPresident Feb 28, 2007 100%
Corporate Director Feb 28, 2007 100%
W-2 Managing Employee Oct 31, 2003
Elizabeth Scott, Inc. Organization, Maumee, OH Corporation 5% Or Greater Direct Ownership Interest Oct 31, 2003 100%
Operational/Managerial Control Oct 31, 2003 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629052139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 ALBON RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379752",
            "telephone_number": "419-865-3002",
            "fax_number": "419-865-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 ALBON RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379752",
            "telephone_number": "419-865-3002",
            "fax_number": "419-865-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH SCOTT COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-724-5156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2440424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.